Fitness Center Survey
Please insert the following contact information below:
Name: ________________________________ Phone: ______________________ Date: ____________
Email: _____________________________________ Event: ___________________________________
On a scale of 1-10 (10= HIGHEST) how would you rate the FITNESS CENTER for the following:
1. Appearance
1 2 3 4 5 6 7 8 9 10 N/A
2. Condition of the equipment
1 2 3 4 5 6 7 8 9 10 N/A
3. Experience at the fitness center
1 2 3 4 5 6 7 8 9 10 N/A
4. Variety of equipment
1 2 3 4 5 6 7 8 9 10 N/A
On a scale of 1-10 (10= HIGHEST) how would you rate the WEIGHT ROOM for the following:
5. Appearance
1 2 3 4 5 6 7 8 9 10 N/A
6. Condition of the equipment
1 2 3 4 5 6 7 8 9 10 N/A
7. Availability of the weight room
1 2 3 4 5 6 7 8 9 10 N/A
8. Variety of equipment
1 2 3 4 5 6 7 8 9 10 N/A
Is there any additional equipment you wish to see in the Fitness Center or Weight Room?
Please list: ___________________________________________ Circle: Fitness Center / Weight Room
On a scale of 1-10 (10= HIGHEST) how would you rate the CUSTOMER SERVICE for the following:
9. Friendliness of the Fitness Center staff
1 2 3 4 5 6 7 8 9 10 N/A
10. Helpfulness of staff when assisting you
1 2 3 4 5 6 7 8 9 10 N/A
11. Ability of staff to answer your questions
1 2 3 4 5 6 7 8 9 10 N/A
12. Availability of staff
1 2 3 4 5 6 7 8 9 10 N/A
13. Your overall experience with staff
1 2 3 4 5 6 7 8 9 10 N/A
please see reverse
14. Do you pay for membership at a local gym which you attend?
15. Would you utilize the services, and be willing to pay a fee, for a CERTIFIED PERSONAL TRAINER for
individual or small group training? YES / NO
16. Would you be interested in, and pay for, any of the following group fitness classes? (Circle)
1. Spin
2. Yoga
3. Kickboxing
4. Zumba
5. Bootcamp
Please list any other classes: __________________________________________
17. Would you be interested in group ex classes if they were free?
18. What days and times would be best for group ex classes?
For further questions or comments please contact Heather Harvey at hharvey3@davenport.edu or
Shannon Rose at srose27@davenport.edu